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General NPI Number Information
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NPI Number | 1588253363
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Entity Type | Individual
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Provider Name | NICOLE CHRIST
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Gender | Female
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Dates
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Enumeration Date | 01/15/2021
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Last Update Date | 01/15/2021
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Provider Practice Location Address
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Address Line | 1330 MASSACHUSETTS AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20005-4155
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Country | US
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Telephone | 202-827-7300
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Fax |
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Provider Business Mailing Address
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Address Line | 1630 R ST NW APT 708
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City | WASHINGTON
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State | DC
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Zip | 20009-6465
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Country | US
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Telephone | 302-593-6242
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT010001564
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License Number State | DC
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